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Published on: August 30, 2020
[Clinical features of 417 patients with chronic subdural hematoma]
Dun Yuan1, Jie Zhao, Jingfang Liu
1Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Insights
Clinical features of chronic subdural hematoma (CSDH) vary by age. Older adults show increased trauma, hemorrhage factors, and hematoma volume, with longer symptom intervals, impacting CSDH presentation.
Area of Science:
- Neurosurgery
- Geriatric Medicine
- Neurology
Objective:
To discuss the clinical features of chronic subdural hematoma (CSDH) in different age groups.
Method:
A total of 417 patients with CSDH were divided into 3 groups: 0 to 39, 40 to 59 and elder than 60 years. We analyzed the clinical features in different groups, including sex, trauma history, potential hemorrhage factors, trauma to symptoms interval, encephalatrophy, onset symptom and hematoma volume.
Results:
The incidence of trauma, potential hemorrhage factors, encephalatrophy, consciousness disorders and paralysis increased with age, while the incidence of intracranial hypertension symptoms and seizures decreased with age (P<0.001). The trauma to symptom interval in the group elder than 60 was longer than in other groups (P<0.05) and the hematoma volume increased with age(P<0.05).
Conclusion:
The clinical features of CSDH including onset symptoms, trauma history, potential hemorrhage factors, encephalatrophy, trauma to symptoms interval and hematoma volume vary in different age groups.
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